急性缺血性脑卒中就诊时间及其影响因素分析

摘要

目的 探讨急性缺血性脑卒中就诊时间及其影响因素.方法 对住院的急性缺血性脑卒中患者528例进行调查,记录就诊时间、到院方式、病情轻重等,分析影响就诊时间早晚的因素.结果 528例患者中,仅3.03％的患者在发病时间＜2h到达医院就诊,14.20％的患者在发病2～6h到达医院就诊,到院方式、职业类型、教育程度、病情严重程度、居住地点、对脑卒中的认识程度和患者的就诊时间有关(P＜0.05),首发症状以意识障碍、癫痫发作以及≥3个症状的患者就诊时间较短(P＜0.05).结论 公众对脑卒中认识低,脑卒中院前延误治疗严重,应完善院前急救体系,加强公众对脑卒中知识的了解.%Objective To study the visiting time of acute ischemic stroke patients and its influencing factors.Methods 528 ischemic stroke patients were enrolled into this study.The visiting time,ways of arriving at the hospital and the severity of ischemic stroke were recorded and the influencing factors of visiting time were analyzed.Results In 528 patients,3.03％ and 14.20％ of the patients had visiting time ＜ 2 h and 2-6 h,respectively,after the onset of disease.The visiting time was associated with ways of arriving at the hospital,occupation,educational background,severity of ischemic stroke,residential spots,and patients' knowledge about stroke (P ＜ 0.05).The visiting time of those with their initial symptoms ≥ 3,disturbance of consciousness and epilepsy was shorter (P ＜ 0.05).Conclusion The public have a poor knowledge about stroke,the prehospital first-aid delay is severe,we should perfect the prehosptial first-aid system and enhance public knowledge about stroke.